Coping with a loss of independence.

Income Replacement Indemnity Following an Employment Injury

Commission des normes, de l'équité, de la santé et de la sécurité du travail

Applying for an Income Replacement Indemnity Following an Employment Injury

Clientele
A worker, or person considered as such by the Commission des normes, de l'équité, de la santé et de la sécurité du travail, who becomes unable to carry on his or her work as a result of an employment injury (see definitions).

Note
Different terms apply when the employment injury arises outside Québec or in an area close to its borders. 

Restriction
A worker who receives compensation for the same injury from an agency other than the Commission des normes, de l'équité, de la santé et de la sécurité du travail is not eligible.

To apply for an income replacement indemnity following an employment injury, the applicant may either:

  • complete the Worker’s Claim form, and mail it to the office of the Commission des normes, de l'équité, de la santé et de la sécurité du travail in your region, making sure to include the required documents, or
  • use the Réclamation du travailleur online service and submit the form, after printing it out (or call the Commission to request a copy by mail), and mail the required documents to the office of the Commission in your region.

In both cases, the applicant must keep a copy for his or her records and give his or her employer a copy. 

Note
The worker who contracts an occupational disease (for example, lung disease) must also fill out the appropriate attachment and mail it to the Commission along with the Worker’s Claim form, or subsequently if the form was submitted using the online service.

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